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Looking back on this clinical day, I would state that I effectively met my overall goals for the day - Safely and efficiently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. During medication administration, I did come across some difficulties – dropping a few pills and being unsure of the medication in the med cart – but that did not prevent me from safely administering my medication. I completed the three medication checks, while ensuring that I recognized the six medication rights. This experience sanctioned me to acquire comfort in passing meds, and permitted me to see how to prioritize time when a patient takes numerous medications. Alongside medication

He tells her that she believes that the patient has two issues on hand. The first being that the he has been taking too much Acetaminophen and the second the Oxycodone in the Percocet and the high amounts of Diphenhydramine Hcl in his sinus medication is causing increased sedation. According to www.fda.gov the recommended amount of Acetaminophen in 24 hrs is not more that 4000mg or 4 grams. (Use a conversion factor) Taking more that this has been linked to liver disease, which could be the reason for the yellow skin color. Jt has been taking 325mg of Acetaminophen in his Percocet every 4 hrs as well as 650mg of Acetaminophen in his Equate allergy. In combination this places his Acetaminophen dosage at 5,850mg a day which is 1,850mg over the recommended maximum dose. Jt has also been taking 50mg of Diphenhydramine or Benadryl every 4 hrs as well as the narcotic Oxycodone in the Percocet. Both medications are known to make people sleeping, but in combination there will be as increased risk of sedation. While the doctor waits for the lab results he has the staff start and IV and infuses Normal Saline 1000ml over 1 hrs to help dilute the medication in his

This investigation was initiated on September 21, 2017, when complainant, Catalin Lascu, forwarded an email to the Governor’s Office complaining about his arrest for possession of CDS on August 30, 2017, by DSG Colin McNulty #6802. The email was forwarded to the NJSP Office of Professional Standards Intake Unit. Within Catalin Lascu’s email, he noted that he and his girlfriend, Dawn Hollingsworth, were sitting in a parked vehicle at the PNC Arts Center when he pulled out a marijuana smoking pipe. Catalin Lascu noted he took particular issue with the manner in which DSG McNulty approached his vehicle and knocked on the passenger’s side window with his weapon drawn. After DSG McNulty identified himself to Catalin Lascu and his girlfriend,

Patient A was assigned several nurses during her three days stay at the hospital. Everything went well until the second night at the hospital room. A new nurse was

Third week into clinical. So far, things are slowly improving, however I do need to work on critical thinking and being less task oriented. I had my very own patient. The clinical objective was to be able to perform a successful health assessment on a patient and to identify factors in the environment that would impact patient care. Hopefully from there, my critical thinking skills will develop through experience and to fill my concept map thoroughly. On Tuesday, my patient was an older gentleman who came in with destruction of the liver due to medication. When caring for my patient, I made sure that he received everything that he wanted. I felt that I did well in that aspect for seeking good for the patient. I was told to get his good and make his bed. I don’t know why making his bed didn’t occur in the beginning. But, I learned that in the beginning, it’s important to make sure that the environment is clean, their bed is made, and ask if they needed a show. The important thing that I received from this is asking yourself what would you want the nurse to do if you were the patient. One thing I do realize is that my ability to work with patients and communicate with them with some baseline knowledge is good. With these, I am able to be more confident in my work. But, I do need to work on looking at the full picture when gathering information from the patient. I tend to overlook things but I will improve by realizing my failures.

I arrived for the early shift at work; after hangover I was allocated to work with the nurse who was in charge of doing the drug round. After dispensing the drugs to a few patients, we went in a bay with 4 patients. One patient had problems with speaking and movement; the nurse placed the medication on the

At the nurse station, she raised her voice and said:” We have a problem if you can pass your medications by 10pm. I want to make sure you chart early and there will be no overtime!” I told her I appreciated her help,

During week five, I was assigned to two patients (patient A and patient B), one of whom is a shared client (patient B) between me and a colleague. My colleague and I planned out the first half of the shift, such that we would perform vital signs and head-to-toe assessments, administer medications in accordance with the schedule, and reposition the patients every two hours.

In week 4 I learned about the responsibility of Medical Assistance. They are hired within primary care to assist providers. It gave a scenario of what I could possible experience within the workplace. I learned that it is important to know each person scope of practice as well as it is Important that they also know their scope of practice. It is also important that employee knows the facility policy and wear the policy books are keep.

Upon arrival, Murielle had a stack of paper work that she needed to record in the computer system and filed. Though I wanted to help Murielle, I first had to assist Maggie with two hot packs, one for the shoulder and the other for the wrist. While patients sat with their pain management therapy for 8 minutes, I started organizing the paper to file during my spare time. Maggie and Issac was working on a patient's splint, while I supervised the two patients who were waiting to be seen. Once Maggie was available to assist the patients, she handed me their intervention sheet, which I was able to use as a guideline for the exercising equipments that I would need to set up for each patient. Both patient therapeutic session was difference since both

that her muscles felt weak, she felt dizzy and all of a sudden collapsed. As the staff helped her to her feet and escorted her back to her room then she was put back in her bed. They had to check her vitals to make sure she was ok. The noticed a bruise on her right wrist and asked he was it before. She stated no and the nurse checked her wrist for any fractures and put a topical medication on it. The nurse then proceeded to check her medications and noticed that the dosage of one of them was too high. She then called her doctor to tell him what had happened.

The doctor requests Taylor to go see the patient in room 1. The doctor Taylor would be working with today was from Boston. He fits the stereotypical attributes of someone not just from Boston, but from up North period. The attitude, the snap in every word spoken, and the lack of what appeared to be happiness on his face. The very first patient she encounters is a 47 year old female that was complaining of pain in her uterine area. Before Taylor could even get a sentence out, the patient informed her that the doctor had already seen her and that she was going home. However, she didn 't mind Taylor running an assessment seeing as how it would provide great practice to the new student. Taylor begins her assessment and starts with the basics.

My progress in planning care for patients is improving. I first do a head to toe physical assessment. I ask about pain and if the patient has any concerns when that is complete. This week the patient voiced concerns about having a bowel movement and rated his pain at a 6 on the 0-10 scale. He also verbalized he wanted to get washed up for the day. I decided to make his need for pain management a priority. I recognized that he was uncomfortable. Before we start any activity, I wanted to wait until his scheduled dose of oxycodone.

The movie “Invictus” tells a small part of the story of Nelson Mandela, ex-president of South Africa and winner of the Nobel Peace Prize for helping his country to fight against the apartheid. In the movie, Mandela (Morgan Freeman) had just left prison and become the president, with the intention of unite the people and make them live without racism and prejudice.

ในปี 2551 การแข่งขันเพิ่มขึ้นจากการขยายตัวของโรงแรมทวิน ปาล์ม ภูเก็ต รีสอร์ท โรงแรมแมริออท คอร์ทยาร์ด ที่หาดสุรินทร์ โรมแรม ซิกส์ เซนส์ เดสทิเนชั่น สปา และ โรงแรมอนันทรา ภูเก็ต รีสอร์ท บนหาดไม้ขาว อีกทั้งในปี 2552 มีโรงแรมระดับ 4 ดาว หลายแห่ง และโรงแรมระดับบนเปิดเพิ่มขึ้น แต่คาดว่าไม่มีแห่งไหนจัดเป็นคู่แข่งระดับเดียวกับโรงแรมในกลุ่